| NPI | 1497765358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA07125600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07125600) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-04-26 |